Cornu cutaneum is a cone shaped hyperkeratotic projection
above the skin surface resembling an animal horn. This may be
associated with broad spectrum of morphology at base i.e.benign,
premalignant, or malignant cutaneous lesions. Here we present
a 86-year-old female patient with a cutaneous horn at scalp with
squamous cell carcinoma arising from ulcerated base. This case
report aims to highlight that cornu cutaneum can occur in association
with malignancy. Also, it highlights the importance of careful
management in such scenario. Wide local excision of the growth
was done. Histopathological examination showed squamous cell
carcinoma with negative surgical margins.
Keywords: Cornu cutaneum; Cutaneous horn; Squamous cell
carcinoma.